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題 名 | 喉插管內芽腫=Intubation Granuloma of the Larynx |
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作 者 | 李學禹; 杜修義; 黃俊生; | 書刊名 | 中華民國耳鼻喉科醫學會雜誌 |
卷 期 | 32:2 1997.04[民86.04] |
頁 次 | 頁35-39 |
分類號 | 416.89 |
關鍵詞 | 喉部; 內芽腫; 插管; Larynx; Granuloma; Intubation; |
語 文 | 中文(Chinese) |
中文摘要 | 位於聲帶突上之肉茅腫在臨床上並非十分常見,其發生原因有一部份與麻醉插管 有關。本文回溯 1992 年 7 月至 1995 年 6 月間,作者所連續經歷的 19 例插管肉茅腫病 例。其形成之原因主要為術後插管時間延長,所接受之手術類別以臉部整型較多,而臨床表 現皆為聲音嘶啞部份併有咽喉異常感。19 名病患都先接受保守治療,其中 3 名病患自行將 肉芽腫咳出,其餘病患因持績嘶啞而接受喉以微手術或合併二氧化碳雷射。術後無合併症, 經 1 年的持績追蹤,19 例皆無復發,而其聲音根據病患的主觀評估,恢復正常者 17 名, 輕微嘶啞者 2 名。 |
英文摘要 | Vocal process granuloma is an uncommon occurence which is possibly related to endotrachial intubation. Ninteen cases of intubation granulomas has been collected at Chang Gung memorial hospital from July 1992 to June 1995. The major factor was prolonged intubation. Meanwhile, the most common presenting symptom was hoarseness. All patients with vocal process granuloma received conservative treatment, three patients coughed out the granulomas spontaneously, and sixteen patients, persisted with husky voice, were then arranged for laryngomicrosurgery. Among them, ten were done by CO �� laser. Postoperatively, no complication was found. After one year's follow-up, there was no recurrence in all patients. Subjective evaluation of the voice quality revealed that 17 patients were normal and 2 were mildly husky. |
本系統中英文摘要資訊取自各篇刊載內容。